Provider Demographics
NPI:1679738983
Name:JS INDUSTRIES, INC.
Entity Type:Organization
Organization Name:JS INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:III
Authorized Official - Credentials:ATC/L
Authorized Official - Phone:636-379-7506
Mailing Address - Street 1:230 FORT ZUMWALT SQ
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-3064
Mailing Address - Country:US
Mailing Address - Phone:636-379-7506
Mailing Address - Fax:
Practice Address - Street 1:230 FORT ZUMWALT SQ
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-3064
Practice Address - Country:US
Practice Address - Phone:636-379-7506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy